On August 26, 2021 a
Complaint,Petition
was filed
involving a dispute between
Dor Cse - Western Region,
Ryan, Kelsey Lynn,
and
Rowell, Shane Steven,
for Paternity Managed
in the District Court of Hampden County.
Preview
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division Hampden Docket No.
COMPLAINT TO ESTABLISH SUPPORT PURSUANT TO G.L. c. 209C
Massachusetts Department of Revenue
Child Support Enforcement Division
on behalf of
Kelsey Lynn Ryan , Plaintiff v. Shane Steven Rowell , Defendant
1. The Child Support Enforcement Division of the Massachusetts Department of Revenue brings this
complaint pursuant to G. L. c. 119A, § 3 and c. 209C on behalf of the plaintiff(s) noted above.
2. The child who is the subject of this complaint is:
GREYSON EVERETT ROWELL
3. The child was born on: 07/29/2019
4. The name of the child's custodian is:
KELSEY LYNN RYAN
5. The child's custodian is the child's: Mother
6. The child resides with the custodian in Massachusetts in the County of: Hampden
7. The mother of the child named above is:
KELSEY LYNN RYAN
22 LYMAN RD
CHICOPEE, MA 01013-3227
F70542 06/16 41389868 Page 1 of 2
8. The father of the child named above is:
SHANE STEVEN ROWELL
175 LAFAYETTE ST
CHICOPEE, MA 01020-1507
9. Paternity was established by:
judgment/order of:
entered on:
an Acknowledgment of Parentage which has the same force and effect as a judgment
pursuant to G. L. c. 209C, § 11(a).
10. The mother and father of the child are not married to each other.
11. No other parties need to be joined pursuant to G. L. c. 209C, § 6.
12. The Massachusetts Department of Revenue requests that the court:
order the mother / father to pay child support in an amount consistent with the child support
guidelines.
order the mother / father to provide private health care coverage that is reasonable in cost and
accessible to the child, or if private health care coverage is currently not reasonable in cost and
accessible to the child, order the mother / father to pay cash medical support until such private health
care coverage becomes available.
order the mother / father to pay reimbursement for past support provided to the child.
order the mother / father to pay the costs of the child's unreimbursed medical expenses.
order such other relief as the court deems appropriate.
Massachusetts Department of Revenue
Child Support Enforcement Division
By its attorney,
08/26/2021 /s/ GARY MANTOLESKY
Date GARY MANTOLESKY
Counsel
PO BOX 7057
BOSTON, MA 02204-7057
(413)784-1025
MANTOLESKG@DOR.STATE.MA.US
BBO#: 674310
F70542 06/16 41389868 Page 2 of 2
Document Filed Date
August 26, 2021
Case Filing Date
August 26, 2021
Category
Paternity Managed
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Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division Hampden Docket No. COMPLAINT TO ESTABLISH SUPPORT PURSUANT TO G.L. c. 209C Massachusetts Department of Revenue Child Support Enforcement Division on behalf of Kelsey Lynn Ryan , Plaintiff v. Shane Steven Rowell , Defendant 1. The Child Support Enforcement Division of the Massachusetts Department of Revenue brings this complaint pursuant to G. L. c. 119A, § 3 and c. 209C on behalf of the plaintiff(s) noted above. 2. The child who is the subject of this complaint is: GREYSON EVERETT ROWELL 3. The child was born on: 07/29/2019 4. The name of the child's custodian is: KELSEY LYNN RYAN 5. The child's custodian is the child's: Mother 6. The child resides with the custodian in Massachusetts in the County of: Hampden 7. The mother of the child named above is: KELSEY LYNN RYAN 22 LYMAN RD CHICOPEE, MA 01013-3227 F70542 06/16 41389868 Page 1 of 2 8. The father of the child named above is: SHANE STEVEN ROWELL 175 LAFAYETTE ST CHICOPEE, MA 01020-1507 9. Paternity was established by: judgment/order of: entered on: an Acknowledgment of Parentage which has the same force and effect as a judgment pursuant to G. L. c. 209C, § 11(a). 10. The mother and father of the child are not married to each other. 11. No other parties need to be joined pursuant to G. L. c. 209C, § 6. 12. The Massachusetts Department of Revenue requests that the court: order the mother / father to pay child support in an amount consistent with the child support guidelines. order the mother / father to provide private health care coverage that is reasonable in cost and accessible to the child, or if private health care coverage is currently not reasonable in cost and accessible to the child, order the mother / father to pay cash medical support until such private health care coverage becomes available. order the mother / father to pay reimbursement for past support provided to the child. order the mother / father to pay the costs of the child's unreimbursed medical expenses. order such other relief as the court deems appropriate. Massachusetts Department of Revenue Child Support Enforcement Division By its attorney, 08/26/2021 /s/ GARY MANTOLESKY Date GARY MANTOLESKY Counsel PO BOX 7057 BOSTON, MA 02204-7057 (413)784-1025 MANTOLESKG@DOR.STATE.MA.US BBO#: 674310 F70542 06/16 41389868 Page 2 of 2